Kelly Colleen Sullivan, MA, PLMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC.0019198 Issued in CO

Practice address

6180 Lehman Dr
Colorado Springs, CO 80918-3444

Phone

(719) 452-4803

NPI assigned

Feb 3, 2021

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1902498785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOMMERLYN RD APT 1003",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063406",
            "telephone_number": "605-890-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 LEHMAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183444",
            "telephone_number": "719-452-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693613115",
            "country_code": "US",
            "telephone_number": "888-401-3264 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KELLY",
        "middle_name": "COLLEEN",
        "credential": "MA, PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0019198",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "12489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Sullivan, PHARM.D
• Jessica Sullivan, CCC-SLP
• Jessie Mae Sullivan, RD
• Kathryn Harriet Sullivan, RPH
• Katie E. Sullivan, PT, DPT, NCS
• Kevin Sullivan
• Maribel Sullivan
• Shannon Sullivan
• Jaime Sumaya
• Summer Cares Therapy

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.